Mothers who breastfeed:

Improvement of a women’s health before pregnancy improves pregnancy outcomes.  

A three week postpartum woman who is breastfeeding presents to your office to discuss her contraceptive options. Currently, she is breastfeeding on demand and is not providing any supplements. She plans to continue breastfeeding for at least six months. She wants to know if she should restart her birth control pills or if she is protected from getting pregnant as long as she is breastfeeding. Information for this woman concerning the lactational amenorrhea method of contraception should include:

The optimal time to screen for postpartum depression is:

A 13-week pregnant client is concerned because her 5 year-old daughter has been diagnosed with Parvovirus 19 (Fifth’s Disease). Appropriate management includes which of the following?

Which of the following statements is MOST true regarding attachment and bonding between parents and babies?

Women who experience intimate partner violence prior to a pregnancy usually experience a reduction of violence during the pregnancy.  

A 33 year old woman at 37 weeks gestation, confirmed by a first trimester ultrasound, presents with moderately severe vaginal bleeding. She is noted on ultrasound to have a placenta previa. Which of the following is the best management for this patient.

Which of the following pharmacokinetic changes could decrease the effect on a medication? 

A 21 year old woman presents for preconceptual care. She receives a rubella vacination for non-immune status. She asks “Can I start trying to get pregnant next week?” Which of the following choices is your best response?